Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Extendacare LLC

Organization Case Management Agency · NPI 1982388393

Extendacare LLC is a Case Management Agency in Wilson, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2509 N Nash Street B
Wilson, NC 27896
Phone: (252) 298-5165
Fax: (252) 616-3718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Home Infusion Agency Taxonomy 251F00000X
Nursing Care Agency Taxonomy 251J00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1982388393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quanisha King — Director Of Operations · (252) 298-5165
Other names Extendacare Home Care; Extendacare Home Care & Infusion Therapy
NPI enumeratedJune 14, 2023
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address2509 Nash Street North, Ste B, Wilson, NC 27896-9015

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